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1659628931
STEPHANIE L. BAKEWELL
SOUTHBURY, CT
NPI
1659628931
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Former Name
STEPHANIE L WOODRUFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: CT 523)
Enumeration Date
2012-08-06
Last Update Date
2016-09-15
Business Address
-- STEPHANIE L. BAKEWELL Audiologist
2 POMPERAUG OFFICE PARK SUITE 307
SOUTHBURY, CT 06488
Phone number: 203-264-8201
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Mailing Address
-- STEPHANIE L. BAKEWELL Audiologist
249 SMITH RD PROVIDER ENROLLMENT
THOMASTON, CT 06787-1234
Phone number: 203-228-6380
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